| NPI | 1124435540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL Director Revenue Mgmt 570-271-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 071801) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-08-11 |