| NPI | 1790439685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS NEFTALI BARAHONA Owner/Mental Health Counselor 570-435-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2024-08-01 |