NPI | 1972789840 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER DAWSON Clinical Director 610-430-5678 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: PA PS016022) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2009-04-06 |