| NPI | 1942605415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHIRA S DOCKERY Co Founder 267-808-8810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SP011319) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |