| NPI | 1548069925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC BONGIOVANNI Mbr 215-768-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |