| NPI | 1891505467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON VILLELLA Licensed Professional Counselor 570-980-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-28 |