NPI | 1386362556 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER DOMBROWSKI Credentialing 215-997-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-08-15 |
Last Update Date | 2022-08-15 |