| NPI | 1669069001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MACERA-BOURGEOIS Chief Revenue Officer 215-728-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |