| NPI | 1811203151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD S. DALTON Program Director 610-565-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 237091) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |