| NPI | 1609335736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR. DANIEL ESTRADA CASSELL, PH.D., MPH President/CEO: Administrator 215-432-3702 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |