| NPI | 1184294381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN KOVICH CEO 610-844-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-01-11 |