| NPI | 1386781359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN WAGNER National Accounts Receivable Direct 610-542-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ 3000-035) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |