| NPI | 1902277197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET LYNN RODIA COO 484-459-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA PS015441) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS015441) |
| 101YM0800X Counselor, Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2023-11-06 |