| NPI | 1497854137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL E. MENAGED Chief Executive Officer 215-482-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: CT 0000-0036) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-02-26 |