| NPI | 1104292952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEMOLA OWODUNNI Executive Director 215-570-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN587494) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH000439) |
| 164W00000X Licensed Practical Nurse (Licence: PA PN289494) | |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |