| NPI | 1093906372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE C RHODES Program Administrator 215-877-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 15161100) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |