| NPI | 1104334796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ALANA PERRIN Clinical Psychologist 267-282-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA PS018040) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2022-10-20 |