| NPI | 1144745332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN A SCHIMPF-PETERSON Executive Director 570-691-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |