| NPI | 1689311979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE MAYO Director 215-443-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |