| NPI | 1588114144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WJ WILUSH CEO/President 215-386-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 142670) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |