| NPI | 1083037311 |
|---|---|
| Other Name | RIDGELEA |
| Entity Type | Organization |
| Authorized Contact | CATHERINE DRY Reimbursement Analyst 610-542-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PA 113190) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |