| NPI | 1932976271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLYNN COFER Owner 484-202-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-18 |