| NPI | 1619733284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ROSE Owner & Therapist 215-315-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |