| NPI | 1669293304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKK LUDWIG Clinical Coordinator 215-260-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |