| NPI | 1124100235 |
|---|---|
| Doing Business As | CLARVIDA |
| Entity Type | Organization |
| Authorized Contact | TIM SOHOSKY COO 570-628-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-09-17 |