| NPI | 1144511783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMI LYNN RIEGEL Lcsw 570-640-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW013192L) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2019-07-03 |