| NPI | 1477263689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE KUSHNER Cheif Clinical Officer 215-275-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |