| NPI | 1073938395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE NAWN Clinical Supervisor 610-497-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |