| NPI | 1043433683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M BELINE Clinical And Program Manager 570-207-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW000108L) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |