| NPI | 1851550529 |
|---|---|
| Other Name | PRISE-IOP |
| Entity Type | Organization |
| Authorized Contact | SHANTE PENNINGTON Biller 215-731-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-07-25 |