| NPI | 1215176342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKISA S. GALLMAN Administrative Director 215-276-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 807343) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |