| NPI | 1306073929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEQUETTA LASHAUN ALFORD Behavior Specialist Consultant 215-416-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 131451801) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |