| NPI | 1790213122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE DORELIEN Manager 215-398-5304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 807440) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2019-06-11 |