| Doctor Name: | MRS. DARLENE WALLS |
| NPI Number: | 1255477568 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PN254815L |
| Business Practice Address: | 48 Pennsylvania Ave Coatesville, PA - 193203677 |
| Business Phone Number: | 6103844596 |
| Business Fax Number: | |
| Mailing Address: | 48 Pennsylvania Ave, COATESVILLE |
| State: | PA |
| Postal Code: | 193203677 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 276400000X |
| License Number: | PN254815L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Rehabilitation, Substance Use Disorder Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |