NPI | 1134235757 |
---|---|
Doing Business As | CLEAR BROOK MANOR/CLEAR BROOK LODGE |
Entity Type | Organization |
Authorized Contact | BRENDAN MCGOVERN Controller 570-822-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 401889/402119) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2013-04-23 |