NPI | 1144788001 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACIE OSTROWSKI Licensed Clinical Professional Coun 215-384-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2019-03-08 |
Last Update Date | 2019-03-08 |