| NPI | 1003172925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA E PRATT Fiscal Director 570-286-4982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: PA 329450) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2017-04-12 |