Spirtilife
NPI #1609250976 in Penn Run, Pennsylvania
Provider Information
- NPI Number
- 1609250976
- Entity Type
- Organization
- Organization Name
- Spirtilife
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 16, 2015
- Last Updated
- Jul 16, 2015
Practice Location
- Address
- 170 FR MARTIN TELENSON RD
- City
- Penn Run
- State
- Pennsylvania
- ZIP Code
- 15765-7336
- Phone
- (724) 465-2165
Authorized Official
- Name
- LOUIS E WAGNER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (724) 465-2165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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