NPI | 1700124666 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDOLPH WINDELL WALTERS Founder/Director 610-639-1729 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC002890) |
Enumeration Date | 2013-01-27 |
Last Update Date | 2013-01-27 |