NPI | 1104562263 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANETTE DUPERON CEO 610-457-2333 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-05-10 |
Last Update Date | 2022-05-10 |