| NPI | 1760206957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY VERMEERENSMITH Owner/Clinical Director 570-351-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |