| NPI | 1164910428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTIANE M COOPER Owner 215-277-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016575) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |