| NPI | 1174801872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE GABLE Bcba 610-365-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 1-11-8027) |
| Additional Taxonomies | 251S00000X (Licence: PA 1-11-8654) |
| 251S00000X (Licence: PA 1-14-16892) | |
| 251S00000X (Licence: NJ 1-11-8027) | |
| 251S00000X (Licence: PA BH000126) | |
| 251S00000X (Licence: PA 1-14-16113) | |
| 251S00000X (Licence: PA 1-13-14034) | |
| 251S00000X (Licence: PA 1-11-9678) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2023-06-21 |