| NPI | 1972102994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID THOMAS CEO 610-744-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 103T00000X Psychologist |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |