| NPI | 1215255393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC P. HERBST Founder, President 570-523-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2017-01-13 |