| NPI | 1427420454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE B. TETT Behavior Specialist 484-300-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PA BH00589) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |