| NPI | 1962974477 |
|---|---|
| Doing Business As | ALEXIS HANSEN |
| Entity Type | Organization |
| Authorized Contact | ALEXIS HANSEN Owner 215-834-8996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |