NPI | 1801136130 |
---|---|
Entity Type | Organization |
Authorized Contact | SAM K QURM President 610-680-8562 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 0266720130214) |
Enumeration Date | 2013-02-23 |
Last Update Date | 2013-02-23 |