NPI | 1023621471 |
---|---|
Doing Business As | JEFFERSON INTEGRATED BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | RONALD KUMOR Senior Vice President 215-612-4858 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-08-26 |
Last Update Date | 2022-10-12 |