| NPI | 1730698945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE R MORRIS Member 610-838-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA PC006132) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |