| NPI | 1548547417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA C SMALLS Mobile Assessment Technician 215-455-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-08 |