| NPI | 1194889782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HENRY BLENK President & CEO 215-638-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 093121) | |
| 251K00000X Public Health or Welfare | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 807337) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2022-07-21 |