| NPI | 1699968677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D BESDEN Director 610-789-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |