| NPI | 1720672793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY MARIE WOLF CEO And Owner 484-634-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2021-02-21 |