| NPI | 1104353994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN PAKECH VP Of Clinical Services 215-370-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA CW017139) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA CW017139) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA CW017139) | |
| 101YM0800X Counselor, Mental Health (Licence: PA CW017139) | |
| 101YP2500X Counselor, Professional (Licence: PA CW017139) | |
| 102L00000X Psychoanalyst (Licence: PA CW017139) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW017139) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |