NPI | 1427261577 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA KREIL Program Director 610-614-1220 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: PA 1000017080488) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |