| NPI | 1578690863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX ALEXANDER PEREZ Quality Assurance Manager 215-763-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 105810) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 850454) |
| 101YM0800X Counselor, Mental Health (Licence: PA 105810) | |
| 251S00000X (Licence: PA 85045A) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-08-05 |