| NPI | 1548665441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MULL Director 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 103TR0400X Psychologist, Rehabilitation | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |