| NPI | 1912353319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITILAYO OLUWATOSIN OSUNTOKUN Physician/Owner 570-558-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD427475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD427426) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD427475) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-07-13 |