| NPI | 1962212472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD M COREN CEO 215-817-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |