| NPI | 1568601227 |
|---|---|
| Doing Business As | POPLAR HOUSE |
| Entity Type | Organization |
| Authorized Contact | ALVIN GERARD JORDAN Volunteer 610-647-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-078-209) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |