| NPI | 1124362819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE JANY Contract Specialist Ii 610-799-8473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 5146A) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2013-02-27 |