| NPI | 1790243020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA E PRESBERY Lpc/Owner 215-277-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-06-25 |