| NPI | 1346375680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY CLIFT Senior Vice President & CFO 610-328-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 137660) |
| Additional Taxonomies | 251C00000X (Licence: PA 329300) |
| 103T00000X Psychologist (Licence: PA PS004668L) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-03-27 |