| NPI | 1962794347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE KING COO 484-731-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: DE-10022-M) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2023-06-07 |