| NPI | 1790099372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH SANTUCCI COO 570-748-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC 002227) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC002741) |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW019892) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD051832L) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD051832L) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2023-01-16 |