| NPI | 1578703393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SLACK Chief Executive Officer 610-799-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 5146A) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2023-05-26 |