| NPI | 1790803815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE TOLERICO Partner 570-383-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA cw012110) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS001198L) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-07-18 |