| NPI | 1003241365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD HAUSSMANN CIO 215-842-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PA 100003856) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 100003856) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |