| NPI | 1184849457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHELLE RENEE JONES Licensed Clinical Social Worker 570-839-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015018) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-03-26 |