| NPI | 1013675859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP G MONROE Owner 215-885-1835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |