| NPI | 1518140235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON H. MAY Executive Director 610-944-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 204150) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: PA 245530) |
| 251S00000X (Licence: PA 204150) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2017-02-27 |