| NPI | 1982747648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES V. GIANNASIO Owner 215-643-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2025-09-11 |