| NPI | 1932582293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER OLEKSA Billing 215-513-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: PA 141190) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2016-11-30 |