| NPI | 1003459702 |
|---|---|
| Doing Business As | PSYCHIATRY TOWER HEALTH MEDICAL GROUP WISSAHICKON AVENUE |
| Entity Type | Organization |
| Authorized Contact | GARY CONNER VP & CFO 484-628-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-10-21 |