NPI | 1912615428 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCEL KAGANOVSKAYA CEO 570-540-2590 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-11-14 |
Last Update Date | 2022-12-01 |