| NPI | 1316312259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN CORROCHER Owner 610-348-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000595) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004837) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |