| NPI | 1083129886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH QUINONES CFO 215-971-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |