| NPI | 1003808106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ST. CLAIR Executive Director 215-220-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA 133660) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 103T00000X Psychologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2010-05-19 |