| NPI | 1235205584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HOLMES Exexcutive Director 215-923-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: PA 807161) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA 807161) |
| 251K00000X Public Health or Welfare (Licence: PA 807161) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-01-19 |