| NPI | 1811032501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SLACK Chief Operating Officer 610-799-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 218750) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-02-13 |