| NPI | 1518343938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JOHNSON President 484-269-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |