| NPI | 1871182451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JUDGE SULLIVAN CEO 484-535-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2022-12-15 |