| NPI | 1659694677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEE L. STEFANELLI Owner 570-954-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004617) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004628) |
| 133V00000X Dietitian, Registered (Licence: PA DN000351) | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2019-01-08 |