| NPI | 1366445082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN KRAUSE Board Member 570-455-6385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA 100761571) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA 100761571) |
| 103T00000X Psychologist (Licence: PA 100761571) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2025-09-11 |