| NPI | 1205235009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN SAFON BROOKENS Licensed Behavior Specialist 484-938-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA BH001289) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |