| NPI | 1083863187 |
|---|---|
| Other Name | STUDENT HEALTH |
| Entity Type | Organization |
| Authorized Contact | DONALD W. STECHSCHULTE Medical Director 570-577-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: PA VP000171F) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |