| NPI | 1194739979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DANIELS CFO 570-343-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 1223G0001X Dentist, General Practice | |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-02-24 |