| NPI | 1255771739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE HIGGINS Office Manager 570-430-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |