| NPI | 1992109383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN D'AMICO Psychologist 610-527-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PS004905L) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |