| NPI | 1912377250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MASCIARELLI-WALKER Therapist 267-252-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA CW017875) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |