| NPI | 1831606128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JOHNSON Vice President For Finance & Admini 610-758-3178 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-14 |