| NPI | 1164557716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN RUNQUIST Director Of Behavioral Health 570-825-3928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 217190) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-08-03 |