| NPI | 1639729650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN CHOICE Administrative Assistant 215-740-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2022-10-18 |