| NPI | 1306926829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEITH MONTANARO Director 215-885-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PS005303-L) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-07-24 |