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 |