| NPI | 1063168763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LORI DENNING Lic Prof Couselor 215-341-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |