NPI | 1558532671 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON HARLEN CEO 570-820-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 401216) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2020-01-28 |