| NPI | 1932564267 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DONNA MOSCUFO Reimbursement Analyst 610-542-3131  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 189990)  | 
| Enumeration Date | 2015-12-31 | 
| Last Update Date | 2015-12-31 |