| NPI | 1710754205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKICHIE DAVIS Owner 215-469-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2026-03-10 |