| NPI | 1992914311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FISHMAN President 215-951-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: PA 465074) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |