| NPI | 1619533098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE JOHNSON Clinical Director 215-802-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2026-06-09 |