| NPI | 1073549697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BLADEN Office Manager 215-830-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2013-07-22 |