| NPI | 1710364385 |
|---|---|
| Other Name | KRISTIN EVERETT |
| Other Name | CRISTAL WAGNER |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL ODELL CEO 215-409-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 171W00000X Contractor | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2025-10-17 |