| NPI | 1629214994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LORD C.F.O. 215-997-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 198890) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PA 198890) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2016-02-24 |