| NPI | 1114225927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALTON TRACEY LANIER President 215-921-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |