| NPI | 1578970604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE HETZEL Owner 484-547-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC007017) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |