| NPI | 1366862930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA S. KOVITCH Director 570-982-9436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC 007330) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-12-26 |