NPI | 1043879083 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA MARSHALL Director, Billing & Collections 570-203-9222 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2019-06-12 |
Last Update Date | 2024-03-14 |