| NPI | 1225588981 |
|---|---|
| Other Name | FORENSIC INTENSIVE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | SHANTE PENNINGTON Billing Coordinator 215-731-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |