| NPI | 1679786362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F CACCAVELLA Director 215-321-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: PA PS-005960-L) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2015-12-08 |