| NPI | 1790188761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH P GREENWOOD Contracts Manager 610-558-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017358) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |