| NPI | 1588836118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ISRAEL BALOGUN Chairman/CEO 215-704-8223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2011-01-25 |