| NPI | 1093720948 |
|---|---|
| Doing Business As | BASE SERVICE UNIT 392 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KAUFMAN President 610-866-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-10-19 |