| NPI | 1851073050 |
|---|---|
| Doing Business As | MAIN LINE CENTER FOR EATING DISORDERS |
| Entity Type | Organization |
| Authorized Contact | AMY MACK Clinical Director 267-203-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |