| NPI | 1881620250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARY AXFORD Deputy Director 610-373-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 067063) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA 206900) |
| 101YM0800X Counselor, Mental Health (Licence: PA 223690) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2012-02-09 |