| NPI | 1093995243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE ROBERTS Director 215-472-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |