| NPI | 1164701355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A CLEAVER Owner/President 267-987-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC000242) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |