Organization
DYNAMIC RECOVERY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL MICHAEL SENYK (PRESIDENT / EXECUTIVE DIRECTOR)
(215) 862-7317
Entity
Organization
Contact information
Practice address
18 W STATE ST, SUITE 225, DOYLESTOWN, PA 18901-4240
(215) 862-7317
(215) 862-0473
Mailing address
PO BOX 360, NEW HOPE, PA 18938-0360
(215) 862-7317
(215) 862-0473
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
130600
PA
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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