| NPI | 1972555605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A BOWERS Director Of Finance 215-914-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD042439L) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-06-17 |