| NPI | 1134359904 |
|---|---|
| Other Name | 9091 REPRESENTATIVE PAYEE (PHILADELPHIA) |
| Entity Type | Organization |
| Authorized Contact | ADRIANA TORRES-O'CONNOR President And Chief Executive Offic 215-751-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2019-03-05 |