| NPI | 1720454267 |
|---|---|
| Doing Business As | PRAIRIE ST. JOHN'S |
| Entity Type | Organization |
| Authorized Contact | STEVE FILTON Sr VP CFO 610-768-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |