| NPI | 1679345839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIA GRIFFIN Owner 570-290-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-07-09 |