| NPI | 1124189386 |
|---|---|
| Other Name | KANNER CENTER |
| Entity Type | Organization |
| Authorized Contact | FRAN WAGNER National Director, Ar 610-542-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PA 188810) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 126010) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-06-09 |