| NPI | 1902440621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD EVANS VP 610-382-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-12-16 |