| NPI | 1316922362 |
|---|---|
| Doing Business As | CLARVIDA |
| Entity Type | Organization |
| Authorized Contact | TIM SOHOSKY COO 570-628-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 203110) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2024-10-11 |