| NPI | 1851606115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE L LISITSKI Executive Director 215-386-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SW010226L) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |