| NPI | 1881274496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L BROADRUP Owner/Sole Practitioner 484-437-8386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-12 |