NPI | 1649468190 |
---|---|
Entity Type | Organization |
Authorized Contact | CLANCY D. MCKENZIE Owner 610-664-0948 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD008370E) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2007-10-10 |