| NPI | 1619696317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMARR BROWN Authorized Person 215-709-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |