| NPI | 1790149441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWANZA JAJA MCCLAIN Owner/Administrating Partner 215-346-6681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |