| NPI | 1992038590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DORFMAN Owner 610-458-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD050324L) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004013) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW014486) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |