| NPI | 1023177144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE E. GLACKMAN Executive Director 215-701-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 117040) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |