| NPI | 1467591974 |
|---|---|
| Former Legal Business Name | CARSON VALLEY SCHOOL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH NIEZGODA Interim CEO 215-233-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 1002909500008) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-01-17 |