| NPI | 1962826149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODESTA MOLINA Cheif Of Operations 215-291-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |