| NPI | 1518424944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TERRENCE WERNER Senior Director Of Operations 215-568-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |