| NPI | 1568975738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYN M MCCLAIN President 484-516-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: PA PC007078) | |
| 103K00000X Behavior Analyst (Licence: PA BH000253) | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2022-02-03 |