| NPI | 1669568770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HARLEN CEO 570-820-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 407024) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 401216) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-11-26 |