| NPI | 1548615545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORAN GOTTESMAN Psychologist 215-394-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC008674) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |