| NPI | 1083900153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L HALUSHKA Licensed Psychotherapist 215-499-3136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00395500) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |