| NPI | 1407909088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MCCORMICK Managing Director 215-796-4640 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-02-09 |