| NPI | 1023623956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA FREIDLY Owner 215-360-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |