| NPI | 1497260517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN N. JENKINS Owner 215-360-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7667) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |