| NPI | 1588013882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALBERT KOSSOR Clinical Director 610-212-0738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PS003680L) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |