| NPI | 1700490422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASHA D JONES CEO/Clinical Executive Director 610-809-6495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |