| NPI | 1750410668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYANN ROHRER Program Director 610-614-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 1000017080458) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |