| NPI | 1528677317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEHA GUPTA Owner 484-469-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-03-02 |