| NPI | 1174757942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GAETANO PANICHELLA Psychotherapist 484-889-8619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC005013) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |