NPI | 1033890629 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN WITHERSPOON CEO 215-876-5892 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2023-07-27 |
Last Update Date | 2023-07-27 |