| NPI | 1992353197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN COHEN CEO/President 215-487-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |