| NPI | 1831562438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L. SHIELDS Managing Co Owner 877-831-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005307) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005388) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2023-12-06 |