Organization
OUR PLACE TO SOAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MADEIRA LPC (COUNSELOR/OWNER)
(610) 207-5279
Entity
Organization
Contact information
Practice address
2603 KEISER BLVD STE 201, WYOMISSING, PA 19610-3341
(610) 207-5279
Mailing address
483 OLEY RD, FLEETWOOD, PA 19522-8861
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
PC005422
PA
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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