| NPI | 1275981573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HARLEN CEO 570-820-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 407063) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |