| NPI | 1538873344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA SALERNO CEO 570-840-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-10-22 |