| NPI | 1891186573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MADDEN PELLEGRINO Managing Partner/Therapist 215-813-9732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018293) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC001544) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-06-03 |