| NPI | 1245578608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CYNTHIA LOFTUS-VERGARI Sex Therapist 570-822-9706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2013-01-19 |