| NPI | 1255764353 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STACY LYNN BAUMBAUGH Child Behavior Consultant 610-574-3681 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA BH000390) | 
| Enumeration Date | 2013-08-13 | 
| Last Update Date | 2013-08-13 |