| NPI | 1518773779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY C. PICHANY Chief Officer 570-468-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |