| NPI | 1073736104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MOYLE Dir. Fiscal & Corporate Operations 610-239-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 800103) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA 800103) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-07-19 |