| NPI | 1114300563 |
|---|---|
| Former Legal Business Name | PHILADELPHIA MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNA R. DISALVO Outpatient Program Manager 215-735-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |