NPI | 1689309965 |
---|---|
Entity Type | Organization |
Authorized Contact | LATISHA D MCCOY Licensed Therapist/Owner 484-496-4694 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-07-20 |
Last Update Date | 2025-09-04 |