| NPI | 1942943154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CAMAEREI Dir 570-242-1768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2024-06-03 |