| NPI | 1447123245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARWAN ASMAR Contracts Payor Manager 484-633-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-12-05 |