| NPI | 1093928616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE MONICA KOPEC Executive Director 570-430-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 203770) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2015-08-10 |