| NPI | 1760762827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA HOPKINS Director 215-439-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS008931L) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-25 |