| NPI | 1881174951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARIE MATTIVI STANGO Owner/Therapist 484-444-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017967) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2018-08-18 |