| NPI | 1023095197 |
|---|---|
| Other Name | CM1 - WOODLAWN |
| Entity Type | Organization |
| Authorized Contact | THOMAS PUGH Vice President 570-826-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2020-08-22 |