NPI | 1376712786 |
---|---|
Doing Business As | DELAWARE VALLEY MEDICAL |
Entity Type | Organization |
Authorized Contact | ROBYN TANIS Executive Director Contract Mgmt 856-533-8762 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
Enumeration Date | 2008-02-29 |
Last Update Date | 2022-03-31 |