| NPI | 1942345731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SLACK Chief Operating Officer 610-799-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 5146A) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-03-14 |