| NPI | 1083470462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SACHEL JOY ELLIOTT Administration/Officer 484-378-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-24 |