| NPI | 1083099295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN CICCHIELLO Executive Director 570-875-8058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP009838) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP006931C) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA TP006931C) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |