| NPI | 1841076296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA ELIZABETH REDKA Owner/Administrative Director 570-447-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-09-05 |