| NPI | 1548121130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA URBAN Vice President 215-586-3102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2026-05-12 |