| NPI | 1548550361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA WARFIELD Office Manager 215-225-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 807356) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |