| NPI | 1811514169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GREEN Lpc/ Therapist 610-931-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |