| NPI | 1174818223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INCORP SERVICES Management 215-498-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2013-06-19 |