| NPI | 1154879096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH ANN O'HARA President 570-551-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA OS008495L) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |