| NPI | 1194266874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SLACK Chief Operating Officer 610-799-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 207010) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |