| NPI | 1992907463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E GROVES Pa 409-832-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) (Licence: TX H5172) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |