| NPI | 1770450827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANCUN WISSEH CEO 484-477-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 251E00000X Home Health | |
| 101Y00000X Counselor | |
| 385H00000X Respite Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |