| NPI | 1912744822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE DWORAK Owner 570-362-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |