NPI | 1114646650 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA MARSHALL Director, Billing & Collections 570-203-9222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-08-26 |
Last Update Date | 2024-03-27 |