| NPI | 1487986154 |
|---|---|
| Doing Business As | JEANETTE EGAN "A MH & D& A OUTPATIENT TREATMENT FACILITY" |
| Entity Type | Organization |
| Authorized Contact | JEANETTE DONNA EGAN Director 610-965-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC000119) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA PC000119) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC000119) | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |