| NPI | 1083172803 |
|---|---|
| Doing Business As | MAIN LINE TREATMENT, LLC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P BOYLE President 610-416-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-16 |