| NPI | 1043304892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E KNECHT Director 570-323-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 417017) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA 417017) |
| 251S00000X | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 417017) | |
| 251K00000X Public Health or Welfare (Licence: PA 417017) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-01-20 |