| NPI | 1164749966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MERCINCAVAGE VP For Student Affairs 570-208-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health (Licence: SD MA001257L) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |