| NPI | 1861456212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION RUDIN FRANK President 2315-545-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS002464L) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2009-06-11 |