| NPI | 1336754951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA HARMON Owner 610-600-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |