Organization
POTENTIAL DISCOVERIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NAJAH BROWN (OWNER/DIRECTOR)
(484) 477-6587
Entity
Organization
Contact information
Practice address
349 N. YORK RD, SUITE 220, WILLOW GROVE, PA 19090
(484) 477-6587
Mailing address
349 N. YORK RD, SUITE 220, WILLOW GROVE, PA 19090
(484) 477-6587
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-09-5862
PA
252Y00000X
Early Intervention Provider Agency
1-09-5862
PA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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