# OUR PLACE TO SOAR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518497924
- **Authorized official:** KAREN MADEIRA LPC (COUNSELOR/OWNER)
- **Authorized official phone:** (610) 207-5279

## Contact information

- **Practice address:** 2603 KEISER BLVD STE 201, WYOMISSING, PA 19610-3341
- **Practice address phone:** (610) 207-5279
- **Mailing address:** 483 OLEY RD, FLEETWOOD, PA 19522-8861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | PC005422 | PA | Yes |

## Other

- **Enumeration date:** 06/18/2017
- **Last updated:** 06/18/2017
