| NPI | 1083167076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE HETZEL Psychologist 484-547-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6648) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2023-06-19 |