| NPI | 1063962322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL R BARNASEVITCH Staff Nurse 215-757-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PA245893-L) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |