| NPI | 1740669019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE E ETZRODT President 215-493-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CWO14488) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |