| NPI | 1225595317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GALLIHUE Director Of Patient Accounts 610-994-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-07-10 |