| NPI | 1265885610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARUE CARRIGAN-HOUSER Director 610-737-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 397049) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |