| NPI | 1306997655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MCCORMICK Assistance Vice President 215-662-2709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2023-03-30 |