| NPI | 1952873945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA S KOVITCH Executive Director 570-982-9436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2021-11-01 |