| NPI | 1609423219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA E CAPEL Member 570-433-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2020-07-06 |