| NPI | 1720170046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY HOLLAND Therapist/President 610-330-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |