| NPI | 1417146887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL MICHAEL SENYK President / Executive Director 215-862-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PA 130600) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |