| NPI | 1871794610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW R BOLMANN Owner 610-323-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD011574E) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-01-04 |