| NPI | 1235625716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ROSE COSPER Licensed Clinical Social Worker 570-204-4028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018964) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2019-04-29 |