| NPI | 1205497518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRELLE A ROBINSON Program Manager 215-528-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2022-09-20 |