| NPI | 1396987046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI J DEIACO President 610-462-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA PC004790) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-06-15 |