| NPI | 1700861242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON PISARCIK CFO 570-825-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA 100728011) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA 100728011) |
| 103T00000X Psychologist (Licence: PA 100728011) | |
| 1041C0700X Social Worker, Clinical (Licence: PA 100728011) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: PA 100728011) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-07-28 |