| NPI | 1013361070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MARIE MILLER Owner 610-331-8371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA CW015998) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-05-09 |