| NPI | 1114450400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH L RAIOLA Director 570-216-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA BH001527) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |