| NPI | 1528300704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRUNELLA HARRIS Licensed Clinical Social Worker 570-807-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA CW018018) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2015-06-18 |