| NPI | 1467132035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA PERSAUD Sr. Contracting Manager 484-501-4462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |