NPI | 1316086655 |
---|---|
Former Legal Business Name | MINSEC ERIE OUTPATIENT |
Entity Type | Organization |
Authorized Contact | BERTEE THOMAS Director Of Re Entry Operations 215-744-9601 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 807220) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2016-09-07 |