| NPI | 1194339648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSTAFA A EASA Director 610-624-5936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 261QH0100X Clinic/Center, Health Services | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2024-05-15 |