| NPI | 1508488677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GOINS Clinical Supervisor 484-868-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2023-07-07 |