| NPI | 1972622306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CALVANO Business Manager 215-955-1952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: PA 800000127) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-10-17 |