| NPI | 1669880928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN POPOVICH Behavioral Specialist 484-264-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA BH002162) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |