NPI:
1083172803
Provider Name:
MAIN LINE TREATMENT, LLC
Doing Business As: MAIN LINE TREATMENT, LLC
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1410 RUSSELL RD STE 205
PAOLI, PA
ZIP 19301
Phone:
(610) 407-4666
Get Directions
MAIN LINE TREATMENT, LLC is a rehabilitation and substance use disorder clinic center in Paoli, PA. MAIN LINE TREATMENT, LLC NPI is 1083172803. The provider is registered as an organization entity type.
The provider Is Doing Business As Main Line Treatment, Llc.
The provider's business location address is:
1410 RUSSELL RD STE 205
PAOLI, PA
ZIP 19301-200
Phone: (610) 407-4666
Fax: (610) 407-4666
The provider's authorized official is Timothy P Boyle .
The authorized official title is President and has the following contact phone number (610) 416-9444.
The enumeration date for this NPI number is 3/11/2019 and was last updated on 3/16/2019.