| NPI | 1063968907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY LIDLOW CFO/Owner 610-937-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw 4814) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |