| NPI | 1699444992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MARITA BLANKENSHIP Project Director 570-371-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-13 |