| NPI | 1508547241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA RAE ANISKEVICH Owner And Director 484-553-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-08-09 |