| NPI | 1154680452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MARK RACHLIN Business Manager 570-350-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW014501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC003341) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW016549) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW017025) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-11-16 |