| NPI | 1043553407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ORTIZ Branch Director 610-858-0180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW126483) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |