| NPI | 1982752408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K DOHERTY Director 215-342-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-10-09 |