NPI | 1407248289 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN ERIC LABMAN President 267-454-8034 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC005696) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA PC005696) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2015-03-03 |