| NPI | 1780057166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PATRICK DALY Licensed Professional Counselor 215-983-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PA PC005544) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |