NPI | 1316441017 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON BRAJER Owner 610-413-9597 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: PA 025443-E) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2018-03-19 |