| NPI | 1871973073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIDA L JONES Therapist 570-350-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SW132221) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |