| NPI | 1568854479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE BOWARD Director 610-659-3763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PS015415) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |