| NPI | 1891992442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR PLATONOV Facility Director 215-464-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 129270) |
| Additional Taxonomies | 251B00000X Case Management (Licence: PA 129270) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2024-01-18 |