| NPI | 1750758181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PETERS Owner/Therapist 267-536-9384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA 008088) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |