| NPI | 1366890337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN CHIU Owner 267-702-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017709) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA PS017709) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-12-16 |