| NPI | 1063656270 |
|---|---|
| Doing Business As | LVPG-MENTAL HEALTH CLINIC 17TH STREET |
| Entity Type | Organization |
| Authorized Contact | ROBERT B KNOX Associate Exec Director Of Finance 610-798-4500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |