| NPI | 1417002320 |
|---|---|
| Other Name | NUEVA VIDA BEHAVIORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | GODRHAT P SHOLEVAR Executive Director 215-229-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-09-10 |