| NPI | 1376685057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY WILUSH CEO & President 215-386-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DE 1519) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |