| NPI | 1235723933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE VENSKYTIS Owner 484-403-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |