| NPI | 1821504564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M THEVAR President 215-997-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |