| NPI | 1487745386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURROUGHS MACK Executive Director 610-696-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA 8001782831) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-05-18 |