| NPI | 1518007996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KENNEDY CFO 215-875-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 181020) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 807226) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |