| NPI | 1194978585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE ROTELLA Billing Manager 610-635-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 214720) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |