NPI | 1457657124 |
---|---|
Entity Type | Organization |
Authorized Contact | WYNANTE SEWELL President/Owner 717-679-7142 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 37PC00350800) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00160200) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2011-01-28 |