| NPI | 1144734245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SZYMANSKI Sole Member 267-303-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC009091) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-12-20 |