| NPI | 1548821374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Enrollment Supervisor 484-526-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |