Organization
MAIN LINE TREATMENT, LLC
Active
Other names
Main Line Treatment, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY P BOYLE LPC (PRESIDENT)
(610) 416-9444
Entity
Organization
Contact information
Practice address
1410 RUSSELL RD STE 205, PAOLI, PA 19301-1200
(610) 407-4666
(610) 407-4666
Mailing address
355 HIGHLAND AVE, BERWYN, PA 19312-1600
(610) 416-9444
(610) 407-4666
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/16/2019
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