| NPI | 1265031603 |
|---|---|
| Doing Business As | AXON PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | FREDERICK RHODE STODDARD CEO 215-292-4007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2024-03-08 |