| NPI | 1801017256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE BOWARD Director 610-878-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-12-21 |