| NPI | 1053409656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HANSON LEWIS Business Manager 610-658-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA 234321) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |