| NPI | 1447235379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C VELLELA Owner / Executive Director 610-434-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS004488L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS004488L) |
| 103TC1900X Psychologist, Counseling (Licence: PA PS004488L) | |
| 103T00000X Psychologist (Licence: PA PS004488L) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS004488L) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |