| NPI | 1285887802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON H. MAY Executive Director 610-944-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: PA 204150) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 204150) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2017-02-27 |