| NPI | 1144744574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GROSSMAN Owner 215-720-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017668) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2018-07-02 |