| NPI | 1932580651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY DUDASH Clinical Coordinator 610-363-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SW128387) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |