Organization
TUNE-UP NETWORK ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH F REILLY MA, MT-BC, LPC (CLINICAL DIRECTOR)
(610) 255-1350
Entity
Organization
Contact information
Practice address
1 TREE TOPS RD, LANDENBERG, PA 19350-1028
(610) 255-1350
Mailing address
1 TREE TOPS RD, LANDENBERG, PA 19350-1028
(610) 255-1350
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PC001972
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018634570003
—
PA
Enumeration date
02/16/2012
Last updated
02/16/2012
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