| NPI | 1780335471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE NICHOLAS BARRETT CEO 484-516-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-12-16 |