| NPI | 1730914128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE DESIREE JOSEPH Psychiatric Mental Health Np 610-708-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2025-10-13 |