| NPI | 1093774010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ALONSO President 610-437-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS002534L) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-08-01 |