| NPI | 1710505615 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | OLUWATOSIN ABIODUN AINA CEO 215-594-1666 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Additional Taxonomies | 251E00000X Home Health | 
| Enumeration Date | 2020-07-08 | 
| Last Update Date | 2024-11-25 |