| NPI | 1124631767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JOSEPH RESIGNATO Owner, Director 484-321-6977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-03-22 |