NPI | 1821142118 |
---|---|
Doing Business As | NUEVA VIDA BEHAVIORAL HEALTH CARE |
Entity Type | Organization |
Authorized Contact | PIROOZ SHOLEVAR Executive Director 215-229-8857 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2007-01-23 |
Last Update Date | 2022-02-18 |