| NPI | 1922657618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORETTA M CAREY Director 215-435-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |