| NPI | 1427559608 |
|---|---|
| Other Name | MOLLIE WOODS INTENSIVE |
| Entity Type | Organization |
| Authorized Contact | TINE HANSEN-TURTON President/CEO 215-750-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2019-03-15 |