| NPI | 1487447884 |
|---|---|
| Doing Business As | THE MENTAL MEDIATOR |
| Entity Type | Organization |
| Authorized Contact | SHANNON SHADMAN CEO 484-515-6125 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |