| NPI | 1861579203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J SAXON Owner 570-718-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS008157L) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-05-24 |