Graduated: 1990
NPI: 1831115559
Practice Locations (2)
HAVEN BEHAVIORAL SERVICES OF PHILADELPHIA, LLC
3300 HENRY AVE, UNIT 4
PHILADELPHIA, PA 191291141
2154753400
EASTERN PENNSYLVANIA PHYSICIAN ALLIANCE, LLC
601 ROXBURY RD
SHIPPENSBURG, PA 172579302
8888299974
Source: CMS National Downloadable File, September 2026.