| NPI | 1720308885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA A PRESCOTT Chief Medical Officer 215-356-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-24 |