| NPI | 1942626205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODESTA MOLINA Chief Of Operation 215-291-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |