| NPI | 1083048920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SLACK Chief Operating Officer 610-799-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 218750) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2017-08-11 |