| NPI | 1205599263 |
|---|---|
| Doing Business As | EDISON COURT, INC. |
| Doing Business As | MATHOM HOUSE |
| Entity Type | Organization |
| Authorized Contact | VINCE J LASORSA Chief Executive Officer 610-478-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |