| NPI | 1497103139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYVANN KEE Owner/Psychologist 267-607-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PS017972) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |