| NPI | 1609525898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Senior Contracting Manager 484-338-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |