| NPI | 1720102569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P NOEL CFO 215-451-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 910194) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: PA 910194) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-07-24 |