| NPI | 1245059153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANELL BROOKER-KNIGHT Psychiatric Nurse Practitioner 215-990-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |