| NPI | 1023200730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICHARD GILDEA Owner/Therapist 570-522-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 607049) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |