| NPI | 1740302124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNYOUN KIM Program Director 215-456-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 807367) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-06-04 |