NPI | 1962072959 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN KOVICH CEO 610-844-8295 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-06-30 |
Last Update Date | 2023-02-09 |