| NPI | 1790902062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LOUISE ROTH President Owner 570-972-0762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW014382) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |