| NPI | 1730482886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIA MICHELE HUNTER Bsc/ Mt 215-900-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 251S0000X) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |