NPI | 1477094159 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL SLACK COO 610-799-8405 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 206960) |
Enumeration Date | 2017-03-15 |
Last Update Date | 2017-03-15 |