| NPI | 1285062778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO TOMAS PALACIO Clinical/Behavial Psychotherapist 215-913-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW014360) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-12-10 |