| NPI | 1619224474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE V BLACK Direct Owner 484-643-9568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA PC005941) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: DE PC-0000593) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA PC005941) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: DE PC-0000593) | |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2016-08-22 |