| NPI | 1427589589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN Z JOHNSON Development Officer 267-864-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 1208532600001) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |