| NPI | 1770208571 |
|---|---|
| Doing Business As | FELLOWSHIP HOUSE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CALPIN COO 570-382-8157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2023-11-16 |