| NPI | 1427724707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS CAPOCCIA Licensed Professional Counselor 570-209-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |