NPI | 1922553429 |
---|---|
Former Legal Business Name | DISCOVERY HOUSE |
Entity Type | Organization |
Authorized Contact | MATTHEW KIMBLE Counselor 717-233-7290 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: PA rc0181901) |
Enumeration Date | 2016-08-25 |
Last Update Date | 2016-08-25 |