| NPI | 1497914089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANULYN CITRON Clinical Director 610-649-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |