| NPI | 1265242135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE JANELLE GILL Chief Executive Officer 484-362-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 101YS0200X Counselor School | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker School | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |