| NPI | 1609243898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LYNNE THAXTON Owner 570-904-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008211) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2024-01-30 |