| NPI | 1356940183 |
|---|---|
| Doing Business As | KENCCID |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY DEANGELO It Systems Director 215-288-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |