| NPI | 1104689009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANYA HUDYNCIA Director Of Operations 570-637-7267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-05-24 |