| NPI | 1043797764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ARCANGELETTI Assistant Clinical Director 570-344-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 407071) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |