| NPI | 1477087401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GALLIHUE Corporate Director, Patient Account 610-994-2968 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2018-09-13 |