| NPI | 1154102135 |
|---|---|
| Doing Business As | TIFFANY THORNTON |
| Entity Type | Organization |
| Authorized Contact | TIFFANY THORNTON License Professional Counselor 484-463-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |