| NPI | 1043892110 |
|---|---|
| Doing Business As | DESTINATION HOPE |
| Entity Type | Organization |
| Authorized Contact | LISA MICHELETTI Executive Director 570-332-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2023-10-12 |