NPI | 1952360877 |
---|---|
Former Legal Business Name | WOMEN'S THERAPY CENTER |
Entity Type | Organization |
Authorized Contact | JACOB DRAULT GLICKMAN Clinical Director 215-567-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2024-08-16 |