| NPI | 1437721610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO TIBERINO President 215-778-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |