| NPI | 1083670590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN KELLY TAYLOR Compliance/Qa 610-363-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X (Licence: PA 157047) |
| 261Q00000X Clinic/Center (Licence: PA 125990) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 118880) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2018-02-07 |