| NPI | 1922479963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MAZDA Licensed Clinical Social Worker 610-304-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017073) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |