NPI | 1831618123 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK GALLIHUE Director Of Patient Accounts 610-994-2968 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2017-09-18 |
Last Update Date | 2020-09-10 |