| NPI | 1124194121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P. ANDREW TRENTACOSTE Executive Director 484-941-0500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA 101530) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA 101530) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-03-01 |