| NPI | 1194489658 |
|---|---|
| Doing Business As | SHOUTOUT |
| Entity Type | Organization |
| Authorized Contact | MARK GALLIHUE VP Of Patient Accounts 610-994-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |