| NPI | 1407732167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA KATE WEINFELD Owner 484-815-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |