| NPI | 1982931440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORMAH PINKY KOLLEH Part Owner 215-758-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |