| NPI | 1700954922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA GRISOLIA Office Manager 215-463-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD010079E) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-08-03 |