| NPI | 1982014445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SCOTT Licensed Mental Health Counselor 570-269-0287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 006068) |
| Additional Taxonomies | 251S00000X (Licence: NY 006068) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |