| NPI | 1164574026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL ROBINSON CPO 215-496-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 807186) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-08-08 |