| NPI | 1992108997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOSEPH BAVARIA Owner 717-805-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: PA 2826402718304186375) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |