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 | 2020-08-22 |