| NPI | 1194213694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY BELMONT CEO 215-450-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-07-10 |