ELIJAH IRVING

NAZARETH, PA
NPI1477029817
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-10-23
Last Update Date2018-10-23
Business Address
ELIJAH IRVING
2325 OLD TOWNE RD
NAZARETH, PA 18064-1459
Phone number: 908-405-9214
Mailing Address
ELIJAH IRVING
826 DELAWARE AVE
FOUNTAIN HILL, PA 18015-1174
Phone number: 610-419-3101