| NPI | 1093469694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA MONTGOMERY Owner/Director 215-380-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |