| NPI | 1023218690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J CLIFFORD Director Of Finance 570-253-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |