| NPI | 1134559008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAREEDA HARPER Credentialing Specialist 610-299-1647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PC005709) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |