| NPI | 1861916470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY TIPTON SONG Co Owner 412-660-3598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS017481) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015469) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |