| NPI | 1023545696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO SALAS GUERRA Business Manager 570-690-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA md435626) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |