| 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 |