| NPI | 1699299404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEBE HEBLING Billing Manager 215-540-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2019-06-25 |