| NPI | 1396399697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELON MEGAN GRUBER Owner Of The Practice/Practitioner 610-570-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-10-10 |