| NPI | 1437800893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSULA ODIMARA Pmhnp 215-771-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2025-12-24 |