| NPI | 1144834649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Supervisor, Cvo Enrollment 484-526-3569 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |