| NPI | 1962550590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J TIM BOYER Administrator 610-782-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X (Licence: PA 201850) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-07-07 |