| NPI | 1902057169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN HILLEGASS Executive Director 610-944-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 204150) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |