| NPI | 1639289952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DIFABIO Chief Operating Officer 610-363-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 502) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 502) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD 502) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-12-10 |