| NPI | 1225782378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY GRIFFITHS CEO 570-498-3624 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-07-11 |