| NPI | 1871050906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HUNTER Owner 484-706-9465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2024-03-25 |