| NPI | 1619509288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELRITA MICHELLE GODBOLD Co Owner 215-253-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |