| NPI | 1932262680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE CAROL COLLASO Clinician 215-750-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015472) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04734600) |
| 1041C0700X Social Worker, Clinical (Licence: NY 044809-1) | |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2014-03-05 |