| NPI | 1881154482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAJR KHALIFAH ELHADI Behavioral Specialist 215-900-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |