| NPI | 1972147023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CALLAN CFO 610-799-7517 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |