| NPI | 1003098732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL COLLINS Clinical Director 570-424-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS-005358-L) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |