| NPI | 1841868510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SMITH Executive Director 484-401-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-01-11 |