| NPI | 1952481616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR FARAG President Psychiatrist 610-917-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 039341L) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 117910) |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: PA 117910) | |
| 261Q00000X Clinic/Center (Licence: PA 117910) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 117910) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-05-04 |