| NPI | 1235293168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND MAUL Executive Director 215-221-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA MFT000266) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |