| NPI | 1548552292 |
|---|---|
| Other Name | MARY MARTIN COUNSELING SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | MARY MARTIN Lcsw 570-417-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA CW014765) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2013-03-28 |