| NPI | 1265668164 |
|---|---|
| Doing Business As | CHOICES PROGRAM OF WYOMING VALLEY |
| Entity Type | Organization |
| Authorized Contact | LAURIE HOLTSFORD Director 615-465-7466 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 407030) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |