NPI | 1265498299 |
---|---|
Former Legal Business Name | SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET |
Entity Type | Organization |
Authorized Contact | WILLIAM REPPY President 570-621-4003 |
Organization Subpart ? | No |
Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: PA 541024) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2018-10-24 |