| NPI | 1407365257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH THUL Co Executive Director 267-765-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: PA 102749306) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 102749306) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |