| NPI | 1649138314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIARA LEONARD Clinical Mental Health Intern 215-605-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-12 |