| NPI | 1003392374 |
|---|---|
| Other Name | KWENYAN PROFESSIONAL HEALTH SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | DR. DANIEL ESTRADA CASSELL, PH.D., MPH President/CEO: Administrator 215-432-3702 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 101950304) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |