| NPI | 1215415732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA WENTZ Owner/ Counselor 570-561-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA PC010538) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA PC010538) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |