| NPI | 1255018909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJUDEEN ADEBAYO KOLAWOLE C RN P 610-563-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |