| NPI | 1083110605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSMARIA CHARLES Clinical Director 610-522-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: PA 143750) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 143750) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 144120) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 143750) | |
| 101YM0800X Counselor, Mental Health (Licence: PA 143750) | |
| 103T00000X Psychologist (Licence: PA 143750) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA 143750) | |
| 106H00000X Marriage & Family Therapist (Licence: PA 143750) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA 143750) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: PA 143750) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA 143650) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 143750) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 143750) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-05-28 |