| NPI | 1902124258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE W. MILLER Sole Proprietor 610-349-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA CW015536) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |