| NPI | 1073339719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE LYNN DAROSH Owner 610-816-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2025-01-06 |