| NPI | 1124952932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA DAWN DESHAZOR Manager Of Contracts And Licensing 215-642-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-06-10 |