| NPI | 1730292277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD BENJAMIN EVANS Director 215-564-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CWO12294) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |