| NPI | 1922139179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYANN M ROTH CEO 215-951-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-10-05 |