| NPI | 1962859496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEETRA MCCLAINE JOSEY Co Owner 215-806-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DE 2015607417) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2022-07-21 |