| NPI | 1053002204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO CRUZ CFO 610-427-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2024-10-17 |