| NPI | 1013108109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA THEODOROU Administrator 570-420-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |