| NPI | 1356064836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORCAS BOURSIQUOT CEO 215-589-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TC1900X Psychologist Counseling | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 163WC0400X Registered Nurse Case Management | |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2025-07-10 |