| NPI | 1700969185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH FERRELL President 570-826-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS003591L) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW005118E) |
| 1041C0700X Social Worker Clinical (Licence: PA CW001159L) | |
| Enumeration Date | 2006-10-22 |
| Last Update Date | 2010-03-20 |