| NPI | 1609340595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA THERESE DUERSON Owner/Behavior Specialist 610-470-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 302F00000X Exclusive Provider Organization | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |