| NPI | 1568517134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ROBERT GRIFFIN Director 215-640-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS002036L) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |