| NPI | 1710155643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY MOYE SALAZAR Owner 570-586-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW004836L) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS015046) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |