| NPI | 1285213363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE R GOODMAN CEO 484-769-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-06-24 |