| NPI | 1023159852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER JOHN GRIFFIN Controller 610-277-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: PA 125220) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-04-04 |