| NPI | 1649497793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE BASTEK KARASOW Executive Director 215-639-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 093149) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 097074) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2009-04-09 |