| NPI | 1700382009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY R BAILEY Clinic Director 484-324-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |