| NPI | 1710113782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIA MICHELE HUNTER Bsc/Mt 215-900-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 23522950) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |