NPI | 1053002204 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN MCCLURE CFO 610-260-2900 |
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 | 2024-03-04 |