NPI | 1194213892 |
---|---|
Entity Type | Organization |
Authorized Contact | DAMANI IRBY Owner 610-626-8085 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 103T00000X Psychologist |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2018-04-27 |
Last Update Date | 2018-04-27 |