| NPI | 1629372644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID FULTON-EDWARDS Owner/Clinician 412-398-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015317) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |