| NPI | 1447354196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANILO A DE SOTO Owner 570-344-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA md043156L) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-04-01 |