| NPI | 1396447553 |
|---|---|
| Doing Business As | ACTIVE DAY OF EASTLAKE |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE VANSCHAICK Regulatory And Contract Analyst 215-642-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |