| NPI | 1144605643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN CICCHIELLO Executive Director 570-875-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2015-08-18 |