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 |