| NPI | 1376772731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA D WILSON CEO 610-876-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 467116) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2012-12-03 |