| NPI | 1003329996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA KOCARELI Special Projects Coordinator 215-728-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 143230) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |