| NPI | 1467124081 |
|---|---|
| Doing Business As | RAVENHILL PSYCHOLOGICAL SERVICES |
| Doing Business As | EDISON COURT, INC. |
| Entity Type | Organization |
| Authorized Contact | VINCE J LASORSA Chief Executive Officer 610-478-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |