| NPI | 1518407519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINZELLE BETHEA Director 215-758-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |