| NPI | 1598356206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYME BANKS Deputy Chief Of Prevention, Interve 215-681-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X |
| 261QM0801X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |