| NPI | 1669059465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE KING COO 484-731-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-09-13 |