| NPI | 1750022398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KALBACH Lead Reimbursement Analyst 610-542-3042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |