| NPI | 1366622110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA Y FERGUSON President/CEO 215-510-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE Q10000903) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |