| NPI | 1871683573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY KEIP Operations Manager 610-351-0625 |
| Organization Subpart ? | |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PA 213680) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: PA 397040) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-03-17 |