| NPI | 1063926798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT MASTRANDO VP 215-694-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2024-12-31 |