| NPI | 1447355391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA JOHNSON Office Manager 215-322-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW014125) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |