| NPI | 1144873126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKISA S GALLMAN VP Administrative Services 215-276-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |