| NPI | 1902663446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROMO Financial Controller 570-209-8416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |