| NPI | 1447622683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GAYOU Behavioral Specialist Consultant 610-931-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PA 001937) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |