| NPI | 1164207494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY DAVIS CEO 215-435-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-09-29 |