| NPI | 1407920804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN MICHALS Owner 215-829-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD009566E) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |