| NPI | 1497321343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ANTHONY HARVEY CEO 857-272-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |