| NPI | 1205052313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN WAGNER National Director, Accts Receivable 610-542-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MA 147344) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |