| NPI | 1194054353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SALTZMAN Medical Director 215-735-7990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA PS004610L) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |