| NPI | 1093849986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKIYA BELL Director Of Billing/Credentialing 215-921-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 121630) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-08-20 |