| 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 |