| NPI | 1225572621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SLACK COO 610-799-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 206980) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2017-10-19 |