| NPI | 1619183845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA REINICKE Director 610-298-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY11011) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |