| NPI | 1922156314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN HAUSE Chief Executive Officer 215-426-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: PA 807340) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-06-17 |