NPI | 1538145453 |
---|---|
Doing Business As | CLARVIDA |
Entity Type | Organization |
Authorized Contact | TIM SOHOSKY COO 570-682-5215 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 206880) |
Additional Taxonomies | 251S00000X |
261Q00000X Clinic/Center | |
Enumeration Date | 2005-12-22 |
Last Update Date | 2024-07-12 |