| NPI | 1073387486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP JOHN PRALL Licensed Professional Counselor 570-780-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |