| NPI | 1619645173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE BOGAN Owner/Clinical Director 215-820-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-07-01 |