| NPI | 1295074045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ORISHA BOURNE CEO 215-551-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA 23573601) |
| Additional Taxonomies | 251B00000X Case Management (Licence: PA 23573601) |
| 251K00000X Public Health or Welfare (Licence: PA 23573601) | |
| 251S00000X Community/Behavioral Health (Licence: PA 23573601) | |
| 251V00000X Voluntary or Charitable (Licence: PA 23573601) | |
| 253J00000X Foster Care Agency (Licence: PA 23573601) | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: PA 23573601) | |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: PA 23573601) | |
| 311ZA0620X Custodial Care Facility Adult Care Home (Licence: PA 23573601) | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: PA 23573601) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: PA 23573601) | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: PA 23573601) | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child (Licence: PA 23573601) | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: PA 23573601) | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child (Licence: PA 23573601) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-10-08 |