| NPI | 1518130335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLINA STOLYAROVA President 215-676-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA MD418065) |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2008-04-13 |