| NPI | 1902565609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA S. ETTINGOFF Director Of Clinical And Quality 215-496-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |