Organization
RCA MAT PA LLC
Active
Other names
Delaware County Healthcare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GALLIHUE (CORPORATE DIRECTOR, PATIENT ACCOUNT)
(610) 994-2968
Entity
Organization
Contact information
Practice address
53 N UNION AVE, LANSDOWNE, PA 19050-2536
(610) 994-2968
Mailing address
2701 RENAISSANCE BLVD FL 4, KING OF PRUSSIA, PA 19406-2781
(610) 994-2968
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/04/2019
Last updated
08/10/2020
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