| NPI | 1538882857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CONKLIN Executive Officer 570-423-3162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2024-02-09 |