NPI | 1538496138 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCY A SHOEMAKER Owner 215-313-0057 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA PS016629) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2010-01-13 |