| NPI | 1659658938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASSER ANTONIO ESPINAL Administrator Supervisor 215-439-0976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |