| NPI | 1376845479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON H. MAY Executive Director 610-944-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: PA 222440) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 218440) |
| 251S00000X Community/Behavioral Health (Licence: PA 225490) | |
| 261QM0801X (Licence: PA 218440) | |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2017-02-27 |