| NPI | 1811310758 |
|---|---|
| Other Name | SHIP ROAD |
| Entity Type | Organization |
| Authorized Contact | CATIE DRY Reimbursement Analyst 610-542-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PA 195960) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |