| NPI | 1821237215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LAGER President 215-665-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 006433E) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |