NPI | 1174694897 |
---|---|
Doing Business As | CLARVIDA |
Entity Type | Organization |
Authorized Contact | TIM SOHOSKY COO 570-628-5215 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 206880) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2024-07-12 |