| NPI | 1720189970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BROWNBACK Director 610-434-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS-003380-L) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |