| NPI | 1407511124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DUARTE COO 484-926-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-08 |