| NPI | 1144853490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIN GREGORY Owner/Private Practitioner 215-701-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |