| NPI | 1720322761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY LYNN GIANNETTI Partner And Professional Counselor 215-859-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006492) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-08-05 |