| NPI | 1154983534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTINA IRENE KALLINTERIS Director Of Operations 570-420-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2020-10-05 |