| NPI | 1083981104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP PELLEGRINO Co Founder/Psychologist 215-715-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016995) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2012-01-04 |