| NPI | 1316987514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SANTA Managed Care Coordinator 215-925-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-01-24 |