NPI | 1821264813 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE R MORRIS Owner 610-838-2880 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC001550) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 0894) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 4286) | |
Enumeration Date | 2008-04-30 |
Last Update Date | 2015-10-16 |