| NPI | 1023355013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LOUISE JANY Contract Specialist Ii 610-799-8473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-02-21 |