| NPI | 1134482409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALEITA MARGUERITE OLSON Director/ Co Owner 484-450-6476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst (Licence: PA BH000073) | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 225A00000X Music Therapist | |
| 251S00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-04-02 |