| NPI | 1508623604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL AMOAH CEO 484-620-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |