| NPI | 1891525887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK CAIAZZO CEO 610-718-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |