| NPI | 1982237145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY GLEESON SCHROCK Managing Partner 610-574-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-03-02 |