| NPI | 1255693586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL AZZINARO CEO/President 215-681-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |