| NPI | 1518435114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MCLAUGHLIN Business Manager 610-422-1463 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2020-03-31 |