| NPI | 1043759905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNEISHA SPRATLEY Owner 267-331-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC007907) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-14 |