| NPI | 1437772795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY MILTON WUSSOW Dir Of Finance & Regulatory Affairs 215-985-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |