| NPI | 1033289764 |
|---|---|
| Doing Business As | CLARVIDA |
| Entity Type | Organization |
| Authorized Contact | TIM SOHOSKY C.O.O. 570-628-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 203110) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-07-12 |