| NPI | 1295338911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DOMBROWSKI Credentialing Specialist 215-997-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2021-11-29 |