| NPI | 1629193578 |
|---|---|
| Other Name | KANNER TRANSITIONAL LIVING |
| Entity Type | Organization |
| Authorized Contact | FRAN WAGNER National Director, Accts Receivable 610-542-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PA 112230) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |