NPI | 1114341328 |
---|---|
Entity Type | Organization |
Authorized Contact | MODESTA MOLINA Cheif Of Operation 215-291-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2014-02-07 |
Last Update Date | 2014-02-07 |