| NPI | 1710390935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL DIFABIO COO 610-363-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-17 |