| NPI | 1306104278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J LUNDEEN Psychologist 610-820-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PS 006798L) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |