NPI | 1750677696 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH KOZAK Peer Support Director 610-775-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 261QM0801X) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA 261Q00000X) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2012-09-25 |