| NPI | 1518658319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY N KOWALCHUK Owner/Clinician 610-585-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2026-02-17 |