| NPI | 1619367489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NWABUNWANNE ANTHONY OKAFOR Bsc 215-715-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA BH002478) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |