| NPI | 1427522937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BOURGEOIS Chief Information Officer 215-728-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-06-11 |