| NPI | 1164319786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELYN B REILLY Owner 215-900-3983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |