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Organization
VITALISTIC THERAPEUTIC CENTER
Active
Organization
VITALISTIC THERAPEUTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAOMI GROSSMAN (EXECUTIVE DIRECTOR)
(610) 861-7570
Entity
Organization
Contact information
Practice address
1406 W HAMILTON ST, ALLENTOWN, PA 18102-4225
(610) 433-4383
Mailing address
1406 W HAMILTON ST, ALLENTOWN, PA 18102-4225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
232260
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01221740
—
PA
Enumeration date
01/09/2007
Last updated
08/22/2020
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