| NPI | 1154867604 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOYCE BUNNELL Director 610-384-9591 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 251k00000x) | 
| Enumeration Date | 2017-01-09 | 
| Last Update Date | 2017-01-09 |