| NPI | 1306255161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYANN M ROTH CEO 215-951-0300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 132980) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 132980) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2015-03-27 |