| NPI | 1174021836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH P WHITE Director Of Administrative Ops 570-322-7878 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |