| NPI | 1104949148 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MOHAMMED ABDUL RAHMAN KHAN Medical Director 610-372-2525 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2007-04-06 | 
| Last Update Date | 2020-08-22 |