| NPI | 1215086756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ROACHE Executive Director 215-747-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 807398) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2010-11-16 |