| NPI | 1649221219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD G EVANS Director 570-829-3489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X (Licence: PA 1007592970013) |
| 251S00000X (Licence: PA 1007592970001) | |
| 251S00000X (Licence: PA 1007592970017) | |
| 251S00000X (Licence: PA 1007592970007) | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-08-13 |