| NPI | 1801336409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY A SANCHEZ Director/Counselor 570-234-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 457046) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA 293029) |
| 101YP2500X Counselor, Professional (Licence: PA 293029) | |
| 104100000X Social Worker (Licence: NY 25305) | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |