| NPI | 1912685678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE J PIMBLE Owner 215-559-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-01-29 |