| NPI | 1982060042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA ANNE PIRAIN Owner 1412-403-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC005196) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |