| NPI | 1922172253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE ANN HANACHE Associate 610-296-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD007091E) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD008076E) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-09-11 |