NPI | 1851390561 |
---|---|
Doing Business As | KIRKBRIDE CENTER |
Entity Type | Organization |
Authorized Contact | ROSE S DIOTTAVIO President 215-471-2853 |
Organization Subpart ? | No |
Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: PA 197910) |
Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: PA 807208) |
273Y00000X Rehabilitation Unit (Licence: PA 807208) | |
283Q00000X Psychiatric Hospital | |
Enumeration Date | 2005-07-15 |
Last Update Date | 2015-10-22 |