| NPI | 1215563887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARTER JOSEPH CLOYD Clinical/Neuro Pschologist/Manager/ 215-990-7714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |