| NPI | 1265620934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN WAGNER National Director, A/R 610-542-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |