| NPI | 1174094502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M THEVAR President 215-997-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2021-11-29 |