| NPI | 1376863043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE K CAMPLING Credentialing 610-931-1217 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: PA 237089) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2018-08-31 |