Organization Name: | DELAWARE VALLEY MEDICAL, INC. |
NPI Number: | 1174646095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA VOORHIS (CHIEF EXECUTIVE DIRECTOR) |
Mailing Address: | 7980 S Crescent Blvd Pennsauken |
State: | NJ US |
Postal Code: | 081094106 |
Phone Number: | 8566655100 |
Fax Number: | 8566655212 |
NPI Enumeration Date: | 04/07/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM2800X |
License Number: | 2000015 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Methadone Clinic |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |