| NPI | 1174830129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN HAROLD BERMAN President 610-940-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2020-08-26 |