| NPI | 1871097519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MALLOY-GOOD Owner 484-321-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW005701L) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-05-24 |