| NPI | 1033853213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO PEDULLA Owner 610-998-3902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2023-05-17 |