| NPI | 1609267301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAREEDA HARPER Credentialing Specialist 215-876-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW013726) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |