| NPI | 1720595242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYNE LAXTON CEO 484-432-7882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2022-08-16 |