NPI | 1982457628 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD T WAGNER Owner 610-850-3859 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-04-11 |