| NPI | 1649151853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA INGRAM Professional Counselor 610-888-2187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |