| NPI | 1427602960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GALLIHUE Corp Dir Of Patient Accounts 610-994-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |