| NPI | 1871125625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAOBIN LI Owner 215-813-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |