| NPI | 1992901714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M STIMMELL Clinician 215-496-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC004151) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |