| NPI | 1659749497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL SNELL Practice Manager 215-545-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW016319) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2022-07-07 |