| NPI | 1639716699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI WILSON Licensed Professional Counselor 215-327-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-12 |