| NPI | 1568567071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE O'CONNOR President And CEO 484-806-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-05-25 |