| 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 |