| NPI | 1780715326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE ROTELLA Ar Coordinator 215-951-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 1000017080113) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |