| NPI | 1982070520 |
|---|---|
| Doing Business As | EASTSIDECOUNSELINGSERVICES |
| Entity Type | Organization |
| Authorized Contact | MARGARET WEST KELLY Clinical Social Worker 215-606-8654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R018157-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077677-1) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |