NPI | 1285647263 |
---|---|
Entity Type | Organization |
Authorized Contact | SUE DERTOUZOS Program Manager 610-486-2280 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 325980) |
251S00000X Community/Behavioral Health (Licence: PA 137430) | |
261Q00000X | |
Enumeration Date | 2006-08-14 |
Last Update Date | 2021-05-27 |