NPI | 1316562333 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACYANN DAWES CEO 610-858-7145 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-06-15 |
Last Update Date | 2024-03-01 |