| NPI | 1104200500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE CHU CFO 215-260-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 157066) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PA 157066) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-18 |