| NPI | 1770001026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA ROSENBERG Sole Member Clinician 267-209-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA cw016234) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2018-06-16 |