| NPI | 1306262456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY I BALOGUN Chairman/CEO 215-294-6790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2024-12-23 |