| NPI | 1639287311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL RUSSO Corp. Director Of Finance 215-456-6611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: PA 270601) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-02-07 |