| NPI | 1770806887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER FINE Medical Director 215-744-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 807411) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |