| NPI | 1518320373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA N BERRY Executive Director 484-746-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA CER-00092467) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA CER-00092467) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA CER-00092467) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-05-26 |