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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITCH ALLEN (CEO)
(610) 348-7322
Entity
Organization

Contact information

Practice address
115 SHEEHAN RD, AVONDALE, PA 19311-9720
(610) 348-7322
Mailing address
1999 SPROUL RD, 10, AVONDALE, PA 19311-9720
(610) 348-7322

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
02/20/2014
Last updated
05/18/2018
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