| NPI | 1902115629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PARKINSON WELLS Owner, Licensed Clin Psychologist 215-885-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS016461) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS016461) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |