| NPI | 1124163910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SLACK CEO 610-799-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2025-07-16 |