NPI | 1124394549 |
---|---|
Doing Business As | SOVEREIGN BY THE SEA I |
Entity Type | Organization |
Authorized Contact | TONMOY SHARMA CEO 610-416-1205 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2012-03-29 |
Last Update Date | 2020-10-19 |