| NPI | 1265688188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEO CARROLL Director Of Operations 610-280-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |