NPI | 1104203223 |
---|---|
Entity Type | Organization |
Authorized Contact | CAREY WINSTON BAILEY CEO 610-664-1506 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH001283) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-04-27 |
Last Update Date | 2015-05-21 |