NPI | 1861645350 |
---|---|
Entity Type | Organization |
Authorized Contact | LAZARO PEPEN First Officer 610-374-4576 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PA MD062674L) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2019-06-05 |