NPI | 1649038357 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSINLEN BLACKWELL Owner/ Licensed Counselor 570-877-5045 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-03-07 |
Last Update Date | 2024-03-07 |