| NPI | 1255749883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY S DEMARCO Owner 570-293-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC007232) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2024-08-18 |