| NPI | 1912042300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SLACK COO 610-799-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 222190) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: PA 222190) |
| 253J00000X Foster Care Agency (Licence: PA 206200) | |
| 253J00000X Foster Care Agency (Licence: PA 206180) | |
| 253J00000X Foster Care Agency (Licence: PA 206210) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-07-21 |