| NPI | 1285391789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LYNN THOMPSON Program Manager 215-320-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101200000X |
| 101YM0800X Counselor Mental Health | |
| 221700000X Art Therapist | |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |