| NPI | 1144830738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSMARIA CHARLES CEO 610-522-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |