| NPI | 1063745875 |
|---|---|
| Other Name | ELAINE AXELMAN BROUDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA PS00608L) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |