| NPI | 1356638951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARILYN MOYER Program Director Of Im 1215-707-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: PA mt200123) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |