| NPI | 1467726117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Supervisor Enrollments 484-526-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2018-10-03 |