| NPI | 1689777641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE L ROMBOUSEK General Partner 570-296-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW006796L) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |