| NPI | 1629864061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KONIEWICZ Owner 484-442-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2026-06-02 |