| NPI | 1376295154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI EZZEDINE Owner 215-706-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2022-01-22 |