| NPI | 1023793106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHARLKISIT CARTER Manager 215-300-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |