| NPI | 1306207667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE CEO 215-991-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YS0200X Counselor, School | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS016044) | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 104100000X Social Worker (Licence: PA SW130970) | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School (Licence: PA SW130970) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-22 |