| NPI | 1508139288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN VERGHESE Medical Director 610-277-8073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA MD 04556l) |
| Enumeration Date | 2012-02-11 |
| Last Update Date | 2012-02-11 |