| NPI | 1700193307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CATHERINE CROOKSHANK Owner 215-829-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD437211) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2010-09-03 |