| NPI | 1518035070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE KING COO 484-731-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-09-13 |