NPI | 1952849374 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT LAGUARINA JR Owner 215-778-3759 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
103K00000X Behavior Analyst | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
302R00000X Health Maintenance Organization | |
347C00000X Private Vehicle | |
Enumeration Date | 2017-02-06 |
Last Update Date | 2021-11-15 |