NPI | 1003342080 |
---|---|
Entity Type | Organization |
Authorized Contact | IDA A OLMEDA Professional Counselor/Therapist 610-439-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA pre-license) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |