| NPI | 1033259619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED ABDO Exec Director 570-455-6385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: PA 1007615710024) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 1007615710024) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-09-11 |