| NPI | 1902530553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHINNEY MATHEW PHILIP Provider 215-375-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |