SPIRTILIFE
Residential Treatment Facilities at Fr Martin Telenson Rd, Penn Run, PA

License number
Pennsylvania 327027
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: LOUIS E WAGNER
Title: EXECUTIVE DIRECTOR
Phone: (724) 465-2165
Address
Address
170 Fr Martin Telenson Rd, Penn Run, PA 15765
National Provider ID: 1609250976
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.