NPI | 1649529769 |
---|---|
Other Name | LA PALOMA TREATMENT CENTER, LLC IOP |
Entity Type | Organization |
Authorized Contact | STEVE FILTON EVP Chief Financial Officer 610-382-3319 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 1000000010578) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN 1000000010578) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2019-05-20 |