| NPI | 1932095130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR ALFONSO CABRAL Owner/Operator 484-769-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |