| NPI | 1396455945 |
|---|---|
| Doing Business As | WEDGE RECOVERY CENTERS |
| Entity Type | Organization |
| Authorized Contact | TAKISA S GALLMAN VP Administrative Services 215-276-3922 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |