| NPI | 1548414923 |
|---|---|
| Other Name | FORENSIC INTENSIVE RECOVERY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | SHANTE PENNINGTON Billing Coordinator 215-731-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2017-04-07 |