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 |