| NPI | 1225783871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET YUSKOVIC Delegated 610-208-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-02-12 |
| Last Update Date | 2022-10-12 |