| NPI | 1255667242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE MEROLLA Associate Executive Director 570-309-6579 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |