| NPI | 1063620490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK RONALD GRECCO Director 215-242-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS004927L) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-04-06 |