| NPI | 1992559199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA WALLINGTON Mental Health Counselor / Owner 215-715-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |