| NPI | 1598260630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE GLICK CEO/Founder 215-469-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00477600) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00180700) |
| 101YP2500X Counselor, Professional (Licence: PA PC009315) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |