| NPI | 1194818799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE GRADY Secretary, Board Of Directors 570-253-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD056330L) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2025-09-11 |