| NPI | 1811471873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WOOMER CEO 610-874-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2022-01-24 |