| NPI | 1194186957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE BALCHUNE Office Manager 570-800-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QE0002X Clinic/Center, Emergency Care | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2023-03-30 |