| NPI | 1154502581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TY CULINER Chief Officer 215-862-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS008396L) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |