| NPI | 1679814891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK S GARG President 215-665-5618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: PA MD420117) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |